Individual provider Active NPI

James Baxter

  • Chiropractor
  • Lake Saint Louis, MO
National Provider Identifier
1568077907
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020029182 Issued in MO
Practice address
11104 Veterans Memorial Pkwy
Lake Saint Louis, MO 63367-1113
Phone
(636) 625-6000
NPI assigned
Sep 12, 2020
Last updated
Sep 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020029182 MO Primary

Addresses

Primary practice location

11104 Veterans Memorial Pkwy
Lake Saint Louis, MO 63367-1113

Mailing address

264 Barkwood Trails Dr
Saint Peters, MO 63376-6673
Phone (816) 805-7803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201007003399 MO Practitioner - Chiropractic 7911326186

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020029182MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Saint Louis Chiropractic and Rehab LLC Chiropractor CurrentSince Dec 30, 2021 Accepting new patients

Locations

11118 Veterans Memorial Pkwy
Lake St Louis, MO 63367
Phone (636) 265-1116

910 Bent Oak Ct
Lake St Louis, MO 63367
Phone (636) 206-4909

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599868800000",
    "number": "1568077907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 BARKWOOD TRAILS DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633766673",
            "telephone_number": "816-805-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11104 VETERANS MEMORIAL PKWY",
            "city": "LAKE SAINT LOUIS",
            "state": "MO",
            "postal_code": "633671113",
            "telephone_number": "636-625-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER",
        "first_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020029182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.